Avera Health Plans Prescription Benefits

Avera Health Plans contracts with Innoviant - A Prescription Solutions Company to provide prescription drug coverage for our fully insured products. Innoviant's pharmacy network consists of over 56,000 nation-wide pharmacies. This network has been designed to be a large, open, national network and offers members the greatest accessibility. The main objective of this network is to lower costs by providing incentives for generic use.

Avera Health Plans offers choices of co-pay plans as well as plans with a separate deductible/coinsurance benefit for prescription drugs. Co-pay plan options include tiered benefits with formularies and step therapy programs on specific therapeutic classes of drugs to provide a great prescription drug benefit as well as help contain costs. This benefit includes both retail and mail order prescription drugs. You may visit www.prescriptionsolutions.com for more information.

For self-funded products offered by Avera Health Plans Benefit Administrators, outside pharmaceutical vendors may be utilized.

View our most commonly used drug formulary.